HomeMy WebLinkAboutBuilding Permit 04-0262
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
lEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMI 1 L/- /5-oL/
(Please type or print and sign at bottom)
ADDRESS
, 4 ?, 5 D lZo b \ Y1
120tLd
1. White File PERMIT NO
2. Pink City · ./) / ~ _" / ..,
3. Yellow Applicant (./ ~ ~ b oc.
LEGAL DESCRIPTION (office use only)
LOl~ BLOCK SADDmON }:/A/tih #//1 dMi
I -
OWNER
(Name)
"''O.b ~
J 4"~ 0 ~,bb\ Y'\
(Address)
J2ClAo\
BUILDER ..
(Name) ~~., V
(Contact Name) R' Il
(Address) \ 441)D Bu.-v n~ Vl' l"
TYPE OF WORK
o Misc.
(' j)Y"\~+VU r-h t) V\
o New Construction
OLower Level Finish
P k vv 'I
I
~k
o Fireplace
ZONING (office use)
/t!1
PID~S" - J j 9- O~'1-t)
(Phone) &J5L.- - 44 5 - 4242-
(Phone) ClS1.. - #-0 - J" 5 0
(Phone)
B11..v n~v III 'L ) H \oJ
o Porch
OAddition
ORe-Roofing
OAlteration
5C;~oto
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
=teru~to~e~~. 'bo~1 (PI I 0 4/15104- t
'., ~ Contractor's License No. Date
P';'~u~it Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water P';'~mit Fee
Gas Fireplace Pc.uuit Fee
PROJECT COST IV ALUE (excluding land) $
4JDOO
it~OOtJfOQ
$ 88. ZS
$ 57. 3'
$ I. 50
$
$
$
$
$
This Application Becomes Y of' Building Permit When A~~:. w led
~ci& -,u)f- ~>joi
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ Icr7,11
Receipt No. ~~
By N)fJt
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Water Meter Size 5/8"; I";
Pressure Reducer
#
#
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTALDUE ~ ~,().()V
Paid
Date
If1.11 I
4-/zLj b...
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (9S2) 441-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Res.idential Building PermitCheckJ~s.t
Deck Addition~ to SiIlgl~ F anlily aam~~
~~
</-~~~
Building 'Permit #
S ite Addre:s~
Date: ~~ /S--c;)l..(
Pill//-(3 sa ^tJ!:J/;;mg: 'RJ
BY:
Legal: L
.B
S ubd ivi~it>n:
E:Listing Structur~or NO
CONFORl\IS TO ZOI'fTI'{G
ORPIN4ANCE
)'"E S
NO
Y:lI:dSetbuc~: NOT APPLICABLE
iVlEETS COD E
R.~quirement
. Propo:ied
Side Yard
(25' if abutting il su.,"~~, 30' if abutting a street in
C ardinal R.id~e ')
· . Side Yard
10'
,
Zfr' tJ. ,
lO~
30f
St
· Rear Yard
25'
,&;~I
· To,,~nhouses
Nlust be consistent with
approved plan for
develop ment
rJA-.
AJ.'fY PROPOSED DECK NOT iYtEETING TH:E ABqVE.CRlTERlA ~lUST .BE REFERRED TO THE
PLA!'+l'fIJ.'fG DEPA.RTLV1I.NT. ALSO, ANY DECK ON' A LOT \VITH A SUSPECTED BLUFF, OR AJ.'fY
OTHER UNUSUAL C!RCtJMST.:.U~CE iYIUST BE RlFL.'R.:R.E.D 'TO THE. PLA1'fN1NC n.EPARTlVIEN'T.
THIs CHECKLlST JYIUSr BECOt'lIPLETED AJ:'ID INCLUDED ll.'1.THE BU1l.DING p~'tnT mE TO
i)lIAll'IT All'f A RE C ORn 0 F J. ~ REVlE W .
L:'.l c.:.vlPLATE,DECK'.::nCX.DOC
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-.-- - _.. ... . .: .. -' ..... -'. ,.--...----*.---......-----...)-
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS I~ 3sa ~/iJ iedAO
TYPE OF WORK ~t,tJ ~,
USE OF BUILDING S,r:; /) . .
PERMIT NO. Q#.OtJpZ- DATE ISSUED !/II~ f()&/
BUILDER ~T(j7a. (o~t" I PHONE #,~ -l(f(() ~d
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-:J7R DATE
J FOOTING 11 IP ~-- v-a,!
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI-GNED
FINAL
fL>
~ :./ ()
FOR ALL INSPECTIONS (952) 447-9850
,.
\
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
b-IO" 0 V
ADDRESS -JtfJ5D ~_ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
If-2~L-
o FOOTING
o FOUNDATION
o FRAMING
~~~~T~J-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ORK ,SATISFACTORY, PROCEED
o CORRECT N AND PROCEED
o CORRE T , CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE IlEQUIIlEMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
L ..~ I", J ~,